Individual provider Active NPI

Jorge J. Zequeira Diaz, M.D.

  • Pediatric Surgery Physician
  • San Juan, PR
National Provider Identifier
1205030988
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
17,885 Issued in PR
Practice address
Cirugia Pediatrica RCM
Hospital Pediatrico Universitario Centro Medico de PR
San Juan, PR 00935
Phone
(787) 777-3535
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 17,885 PR Primary

Addresses

Primary practice location

Cirugia Pediatrica RCM
Hospital Pediatrico Universitario Centro Medico de PR
San Juan, PR 00935

Mailing address

CC14 Calle Daisy
San Juan, PR 00926-6314
Phone (787) 504-1100

Other practice location 1

715 Ave Ponce De Leon # 37.5
San Juan, PR 00917-5032
Phone (787) 504-1100

Other practice location 2

258 Calle San Jorge
San Juan, PR 00912-3310
Phone (787) 504-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105000506 PR Practitioner - Pediatric MedicinePractitioner - General Surgery 4385866490 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Surgery
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Centro Medico de Puerto Rico Bo Monac
Hospital Pediatrico Universitario
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17,885PRMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Sep 22, 2014 Accepting new patients
Recinto de Ciencias Medicas Pediatric Surgery CurrentSince Sep 22, 2014 Accepting new patients
Puerto Rico Pediatric Surgery Group PSC Pediatric Surgery Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

Centro Medico
San Juan, PR 00935
Phone (787) 560-2098

Centro Medico De Puerto Ri
San Juan, PR 00935

Interoperability endpoints

  • Direct secure messaging: sjcjzequei@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1205030988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CC14 CALLE DAISY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266314",
            "telephone_number": "787-504-1100",
            "fax_number": "787-287-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CIRUGIA PEDIATRICA RCM",
            "address_2": "HOSPITAL PEDIATRICO UNIVERSITARIO CENTRO MEDICO DE PR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Ave Ponce De Leon # 37.5",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009175032",
            "country_code": "US",
            "telephone_number": "787-504-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Calle San Jorge",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009123310",
            "country_code": "US",
            "telephone_number": "787-504-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEQUEIRA DIAZ",
        "first_name": "JORGE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PR",
            "license": "17,885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.